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General NPI Number Information
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NPI Number | 1982780730
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Entity Type | Organization
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Legal Business Name | AMR DRUG CORPORATION
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Dates
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Enumeration Date | 10/27/2006
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Last Update Date | 01/13/2016
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Provider Practice Location Address
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Address Line | 305 HAWTHORN AVE
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City | SAINT CHARLES
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State | MO
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Zip | 63301-1402
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Country | US
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Telephone | 636-946-7350
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Fax | 636-724-3303
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Provider Business Mailing Address
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Address Line | 305 HAWTHORN AVE
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City | SAINT CHARLES
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State | MO
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Zip | 63301-1402
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Country | US
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Telephone | 636-946-7350
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Fax | 636-724-3303
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTHONY ROBERTS
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Credential | PHARMD
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Telephone | 636-946-7350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 2012009477
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License Number State | MO
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